| NPI | 1386452787 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | SHAIB OMAR FAROUQ Owner/Manager 720-909-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |